Listeriosis

ʻO Listeriosis kahi maʻi i hiki ke hana ʻia i ka wā e ʻai ai ke kanaka i nā meaʻai i haumia ʻia me nā bacteria i kāhea ʻia Listeria monocytogenes (L nā monositolo).

ʻO ka bacteria L nā monositolo loaʻa i nā holoholona hihiu, nā holoholona holoholona, ​​a i ka lepo a me ka wai. Hoʻomaʻamaʻa kēia mau koʻohune i nā holoholona he nui, e alakaʻi ana i ka hāpai keiki ʻole a me ka hānau hou ʻana i nā holoholona home.

Hiki ke hoʻopili ʻia nā mea ʻai, nā ʻiʻo, a me nā meaʻai ʻē aʻe i nā bacteria inā pili lākou i ka lepo haumia a i ʻole ka manure. Lawe i ka waiū maka a i ʻole nā ​​huahana i hana ʻia mai ka waiū maka i kēia mau koʻohune.

Inā ʻai ʻoe i nā huahana i hoʻohaumia ʻia, maʻi paha ʻoe. Hoʻonui ka makaʻu i ka poʻe aʻe:

• Nā mākua ma luna o 50 mau makahiki
• Nā mākua me ka ʻōnaehana pale nawaliwali
• Ke hoʻomohala nei i nā fetus
• Nā hānau hou
• Hapai keiki

Hoʻokumu pinepine ka bacteria i kahi maʻi gastrointestinal. I kekahi mau hihia, hiki iā ʻoe ke hoʻomohala i kahi maʻi koko (septicemia) a i ʻole ka mumū o ka uhi ʻana o ka lolo (meningitis). Loaʻa pinepine ka pēpē a me nā keiki i ka meningitis.

ʻO ka maʻi i ka hāpai mua ʻana e kumu i ka hāpai keiki ʻole. Pākuʻi paha ka bacteria i ka placenta a hoʻopili i ka pēpē e ulu ana. ʻO nā maʻi i ka hāpai hope ʻana e alakaʻi i ka hānau hānau a make paha o ke pēpē i loko o kekahi mau hola o ka hānau ʻana. Ma kahi o hoʻokahi hapalua o nā pēpē i pā ʻia i ka wā hānau a kokoke paha e make.

I ka poʻe mākua, he nui paha nā ʻano o ka maʻi, kaukaʻi ʻia i ka ʻōpala a i ʻole nā ​​ʻōnaehana i hoʻopili ʻia. Hana ʻia e like me:

• Maʻi maʻiʻaʻai (endocarditis)
• ʻO ka lolo a me ka maʻi maʻi spinal (meningitis)
• Maʻi maʻi maʻi (pneumonia)
• ʻO ka maʻi koko (septicemia)
• Gastrointestinal maʻiʻaʻai (gastroenteritis)

A i ʻole ʻano ʻia ma kahi ʻano momona e like me:

• Nā Nūhou
• Conjunctivitis
• Liona ʻili

I nā pēpē, ʻike ʻia nā ʻōuli o listeriosis i nā lā mua o ke ola a komo pū paha me:

• Loaʻa ka ʻai ʻole
• Lethargy
• ʻO Jaundice
• Hoʻopilikia hanu (ʻo ka maʻa mau ka pulumauma)
• Pāhaʻi
• ʻ Skinhū ʻili
• ʻO ka luaʻi

Hana ʻia paha nā hoʻokolohua Laboratory e ʻike i nā koʻohune i ka wai amniotic, ke koko, nā feces, a me ka mimi. E mālama ʻia kahi moʻomeheu spinal (cerebrospnial fluid a i ʻole CSF) inā hana ʻia kahi ʻōiwi.

Kauoha ʻia nā antibiotic (me ampicillin a i ʻole trimethoprim-sulfamethoxazole) e hoʻomake i nā bacteria.

ʻO ka Listeriosis i loko o kahi pēpē a pēpē paha he mea make pinepine ia. Ola paha nā keiki olakino olakino a me nā mākua. ʻOi aku ka liʻiliʻi o ka maʻi inā pili wale ia i ka ʻōnaehana gastrointestinal. Loaʻa nā hopena maikaʻi ʻole o ka lolo a i ʻole nā ​​maʻi ʻōiwi.

ʻO nā kamaliʻi e ola i ka listeriosis i ka lolo lōʻihi a me ka ʻōnaehana (neurologic) pōʻino a hoʻopaneʻe i ka hoʻomohala.

Kāhea i kāu mea mālama ola inā ʻoe a i ʻole kāu keiki e hoʻomohala i nā ʻōuli o listeriosis.

ʻO nā huahana meaʻai haole, e like me nā paʻi paʻi palupalu nonpasteurized, ua alakaʻi pū ʻia i nā maʻi listeriosis. E hoʻomaʻamaʻa mau i ka meaʻai.

E holoi pono i kou mau lima ma hope o ka pā ʻana i nā holoholona, ​​nā holoholona mahiʻai, a me ka mālama ʻana i nā feces holoholona.

Makemake paha nā wahine hāpai e kipa i ka Pūnaewele no ka Makuahine a me ka Kāohi ʻana (CDC) pūnaewele no ka ʻike e pili ana i ka mālama pono ʻana i ka meaʻai: www.cdc.gov/listeria/prevention.html.

Maʻi maʻi Listerial; Granulomatosis infantisepticum; Feteri listeriosis

• Nā Antibodies

Johnson JE, Mylonakis E. Listeria monocytogenes. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 206.

Kollman TR, Mailman TL, Bortolussi R. Listeriosis. I: Wilson CB, Nizet V, Maldonado YA, Remington JS, Klein JO, hua. ʻO nā maʻi maʻi Remington a me Klein o ka Fetus a me ke keiki hānau. 8th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 13.